of outpatient services, ensure timely authorization decisions, and clarify clinical information. The position is pivotal..., and therapies. Apply established clinical guidelines (CMS NCD/LCD, MCG, InterQual) to determine medical necessity. Ensure...
while ensuring alignment with clinicalintent. This remote role offers an excellent opportunity for those looking to transition... decisions align with clinicalintent. Provide consultation to healthcare providers or members regarding non-formulary...
Lugar:
Eagan, MN | 12/03/2026 20:03:16 PM | Salario: S/. $55 per hour | Empresa:
Actalent to translate clinical/business intent into precise semantic definitions and usable artifacts. Preferred Qualifications... and evolve healthcare ontologies and semantic models to standardize meaning across domains (clinical, patient, provider, claims...
while ensuring alignment with clinicalintent. This remote role offers an excellent opportunity for those looking to transition... decisions align with clinicalintent. Provide consultation to healthcare providers or members regarding non-formulary...
Lugar:
Eagan, MN | 07/03/2026 18:03:02 PM | Salario: S/. $55 per hour | Empresa:
Actalent on reducing the burden on providers while providing critical quality, clinical, and cost data to improve health outcomes. The... between healthcare provider EHRs and CT WiZ, to support clinical and public health decision-making. Onboarding is a term used to describe...
Job Summary The Nursing Home Physician / Nurse Practitioner Regulatory Consultant serves in a non-clinical, advisory... nursing-home-specific regulatory and clinical perspective to company-developed, proprietary programs, education, expert panels...
Lugar:
Dallas, TX | 08/02/2026 03:02:11 AM | Salario: S/. No Especificado | Empresa:
QsourceJob Summary The Nursing Home Physician / Nurse Practitioner Regulatory Consultant serves in a non-clinical, advisory... nursing-home-specific regulatory and clinical perspective to company-developed, proprietary programs, education, expert panels...
Job Summary The Nursing Home Physician / Nurse Practitioner Regulatory Consultant serves in a non-clinical, advisory... nursing-home-specific regulatory and clinical perspective to company-developed, proprietary programs, education, expert panels...
Lugar:
Atlanta, GA | 07/02/2026 20:02:51 PM | Salario: S/. No Especificado | Empresa:
QsourceJob Summary The Nursing Home Physician / Nurse Practitioner Regulatory Consultant serves in a non-clinical, advisory... nursing-home-specific regulatory and clinical perspective to company-developed, proprietary programs, education, expert panels...
Lugar:
Memphis, TN | 07/02/2026 19:02:30 PM | Salario: S/. No Especificado | Empresa:
Qsource in basic cardiopulmonary resuscitation (CPR), including Automated External Defibrillator (AED) Training. Certified Clinical... AFGSC Project Director's intent and program objectives. Lead the development and implementation of all strength...